Patient
AS

Height: 6 ft 4 in

Weight: 275 lbs

BMI: 33.5

Registered Dietitian

Michelle Rodgers, RD

Insurances: Aetna,Anthem,Blue Cross Blue Shield,Cigna,United Healthcare

Diagnosis and Treatment Plan

Progress:

Weight went up 5#, visceral up 1#, doing little exercises, limited activity, suppose to wear a boot, went to Vegas for the weekend, did not follow the diet in Vegas, B: eggs whites with veggies, and chicken sausage, L: quest protein bar or egg whites, D: miracle noodles marara, veggies, shrimp or chicken/beef or turkey, bought salmon burgers, snacks-protein bars or chomps, or seaweed, fluids- water, coffee with almond milk, using peptides, alcohol, some juice in Vegas, sleep fine, stress- fine, challenges-getting more exercise, bowel movements- once a day, Goal: weight loss, looking into TRT, track calories -myfitnesspal, start cardio when possible, 3 meals, 1 snack, may want to consider 1800 calories, 180 gms of protein, watch amount carbs/sugar

Goals/Plan:

1) possibly then 3 meals(protein-50 gms, carb and healthy fat) and 1 snack (protein only)

2) Estimated: 2000 calories , 200 gms of protein, 90 gms of fat, <100 gms of carbs

3) exercise- end goal 500 calorie burn from cardio per day, and weight training 2 times per week with 2 days in-between (working every muscle group to fatigue)

4) get adequate fluids- 64+ fluid oz per day (more like a gallon), try stevia or monk fruit instead of artificial sweeteners, can use Celtic sea salt as electrolyte replacer with excessive sweating

5)  multivit/min per day/vitaprime Klaire labs, and omega 3 -Eicosamax 1000mg(3-4/d), vit D3(5,000 IU) /K2- microingredients brand, take all with food

  • Consider red yeast rice-1200mg am and pm with food, plant sterols-3 gms per day(1gm per meal), policosanol, fiber-pysllium1 tsp per meal), CoEnzQ10(ubiquinol form) 200 mg/day
  • Consider advanced cholesterol profile, thyroid and testosterone labs and coronary artery scan(level of plaque

6) a palm of clean lean protein, a thumb of healthy fat, a fist of higher fiber carbs, and unlimited non-starchy veggies per meal

7) get body comp scale and weigh in weekly

8) become familiar with macros and food list

9) Follow up 4 weeks

Educational materials/Handouts Provided: decrease inflammation , meal plan, recipes, foods list, emotional eating, info on increasing testosterone

Topics Discussed

Weight Loss

Appointment History

Number of Sessions: 4

Last Updated: Apr 29, 2024